Wednesday, December 2, 2015

Website of Meththa Rehabilitation Foundation

Sanath has responded to Srianee's request. He had initiated action and Dr. Panagamuwa has sent the web address immediately. Just click on the address provided by him.

By the way, our blog has become a hive of activity, particularly during the last few days. This is what I intended it to be. The sad thing is that only a few are making use of it. We will need a full time Blog Administrator very soon! (Just joking. I will carry on as long as possible).

From: B Panagamuwa <bpanagamuwa@blueyonder.co.uk>
Date: 2 December 2015 at 14:57
Subject: Re: MRF
To: "Professor Sanath P. Lamabadusuriya" <sanathp.lama@gmail.com>

We have one Sanath.  It is www.meththafoundation.org.uk.  I created this with my basic knowledge so it is not jazzy or young looking fut it has all the information.  I will update it soon with current news.
With love
Pana

Tuesday, December 1, 2015

Ranjith's original e-mail re Professor Dayasiri Fernando

This post had disappeared from the blog. Hence re-posting. It was ND who brought it to my notice. Thanks ND.

Ranjith Dambawinna

28 Nov (4 days ago)
to Nihal
Fellow STC mates! - friends and colleagues.  (For your information)

      Just heard from Merrill Aluvihare  that Dayasiri (Prof . DPA Fernando) has died. He was the Prof. of Surgery at the Faculty of Medicine in Colombo, and was a co-examiner at the Royal College of Surgeon examinations, held annually in Sri Lanka. 

I knew him throughout his career at STC.  Absolutely a very decent bloke ,who remained a devout Christian.  He was also a kind and compassionate guy who set a good example for all of us to follow. His superior knowledge  in Latin astounded even his teachers!

 He was also quite well known for his Drama at the College Literary Society concerts!
   His brilliant performance as 'Portia'  in the "Merchant of Venice", brought him great fame in the 'world of  Drama and Theatre'.  Those 'Episodes' staged at the (STC) college Hall, attracted crowds from near and far!
   He fooled the entire audience to convince them that, he was actually a 'she'!
  
His beauty and performance was so convincing and credible, so much so ,that the college Office at Thalassa received bags and bags of letters of serious compliments , most of which were "amourous" one's, declaring their "endless love" to him!!!

     It will be a sad day for STC, and indeed for all of us !    Goodbye my friend, I shall miss you!


                "faber est quisque fortunae suae"
                                    et
               "bene orasse est bene studuisse"

from Dr. Ranjith Dambawinna

Limb Fitting Centre - Meththa Rehabilitation Foundation

Sanath has requested me to post this on the blog.

Professor Sanath P. Lamabadusuriya

14:46 (1 hour ago)
to bcc: me
Dear Friends,

I wish to bring to your kind notice a very laudable venture initiated by Dr B. Panagamuwa and continuing to function well,He was a colleague of mine at Karapitiya where he was Senior Lecturer in Surgery and my front house neighbour.In the early days at Karapitiya, he was responsible for stitching a mosquito net for us, installing 3 phase wiring for our electric cooker and replacing the front shock absorbers in my car! He also helped in the carpentery and plumbing of the students laboratory at Mahamodera. He emigrated to England with his family around 1990 and gave up surgery so as to specialize in limb fitting. He spends quite a lot of his time here concerning a very special project as he retired from the NHS few years ago.

He started a limb fitting center in Mannar after the war. Hundreds of civilian victims were provided with artificial limbs, walking aids, wheel chairs etc., and they were rehabilitated He used to import container loads of various appliances from the UK for this project. The Tamil medical diaspora were the main sponsors at that time
Later he set up a "state of the art" facility in Maho, in the North Central Province, close to Anuradhapura. I visited the facility few weeks ago and was impressed by the facility and the work that is going on. A person had been trained at the Salford University in UK for this work and he is working in Maho. Another person is being trained in Salford. Pana has devised a method to recycle plaster of Paris as a cost saving exercise. The patients who are currently being treated are victims of road traffic accidents and diabetes.

He has set up a similar facility In Manukulam in the North. He has purchased a bus and runs a mobile clinic as well.

He has started a charity named "Meththa  Rehabilitation Foundation "to fund this work. The monthly running costs are about Rs. 700,000.00. After visiting Maho I decided to join the Meththa Rehabilitation Foundation and placed a monthly standing order with my bank. I appeal to you to support this venture in what ever way you can. The bank account details are Hatton National Bank, Cinnamon Gardens Branch, Account number 076010094381. If you get an opportunity please visit this facility in Maho

Kind regards,

Sanath

(Sanath P. Lamabadusuriya)

Monday, November 30, 2015

Remembering Prof. Dayasiri Fernando

By Dr. Philip G. Veerasingham (Retired Consultant Surgeon, General Hospital, Colombo)


 I met Dayasiri for the first time at the Medical Faculty, Colombo. 

He had entered the Faculty from St.Thoma’s College, Mt. Lavinia. Remembering his school days he told me that he had played the part of Portia, in the all male school production of, Shakespeare’s ‘Merchant of Venice’. He recalled how G. L. Pieris was the ‘prompter’, waiting behind the curtain to help out the young actors, if they ‘missed a line’. G.L. Pieris became a Professor in the Law Faculty and later took up to politics.

He also recalled a night, the year before he entered Medical College when he was about to go to sleep in his bed-room. He overheard his parents discussing about any financial constraints they might have, to support Dayasiri through his years as a Medical student. They had concluded that somehow they would make it. Dayasiri told me, that this made him work hard throughout his medical career. He did his Surgical Internship with Prof. Nawaratne and became a close friend of him.

He was boarded as a medical student, with the famous Obstetrician Dr.Prince Rajaratnam. He related how Prince had told him that one must live a life, where even the undertaker would feel sorry for one’s death. This came true for Prince. After the funeral of Prince Rajaratnam, his wife got a note from Raymonds the undertakers, that there was no bill to be settled as that was the least that they could do, for this wonderful doctor.

In 1972 I met Dayasiri in Sheffield. He was working with a famous Gastro-enterologist then. He told me that at the interview where he was selected, he had produced the letter of reference from Prof Nawaratne. ‘Nawa’ was then in the editorial board of the magazine of the British Surgical Society. Prof. Hughes (if my memory is correct) had told him why he did not send Prof. Nawaratne’s letter with the application for the job. Then there would have been no need for the interview.

In 1974 he returned to Sri Lanka and was Resident Surgeon at Panadura. Subsequently he went on a scholarship to do Gastro-enterology as a speciality. He was appointed the Gastro-enterologist at Kalubowila Hospital, on his return to Sri Lanka. He resigned from his post in the Health Department and joined the Medical Faculty, Colombo, under Prof. Nawaratne.

When I was appointed Consultant Surgeon, GH, Colombo in 1991, we became colleagues and used to have operating sessions, in adjoining operating suites. I remember an incident relating to the medical students clerking with me. When examining patient’s abdomen, I would use as ‘control subject’ a medical student in the batch, doing the appointment at that time. The patient with an abdominal lump would be lying on the bed for the examination. On the adjacent bed I would make a medical student lie down and expose his abdomen. The students would examine both subjects and get a first-hand knowledge of pathological anatomy of the abdomen. Apart from occasional giggles there were no protests. I have a sneaky feeling that the boys who acted as ‘controls’ would have felt thrilled when the female colleagues, palpated their abdomen. One day a male student refused to act as a ‘control’. I told him ‘How can I teach you if you refuse to take part in this’ and sent him out. A few days later the Professor of Surgery met me in the Consultants Lounge and told me that the student was wearing torn underwear (‘banian’) and that was the reason, he refused to expose his abdomen. I told the Professor that now I understood his predicament and took him back. A few years later I heard that this student had gone to see Dayasiri. Dayasiri had listened to him and told him to go with this cooked up story to the Professor. I had a hearty laugh on hearing this. Dayasiri was very close to the Medical students who would take their troubles to him.

Dayasiri was the family surgeon for Madame Sirimavo Bandaranaike. He moved in the highest political circles of Sri Lanka.

He became Dean of the Sri Jayawardenapura Medical Faculty. His last post was as President of the Public Service Commision.

He often quoted a poem we learned at school which goes as follows:-
‘Lives of great men all remind us,
We can make our lives sublime,
And departing leave behind us,
FOOT PRINTS IN,
THE SANDS OF TIME.

He was a practicing Christian and understood the impermanence of things.


I salute him and his life
.

Sunday, November 29, 2015

Creative Spot - A poem by Mahendra (Speedy) Gonsalkorale

Oceanic balm


She was cocooned in a glass cage of emotion, 
Shattered by the shrill sounds of inner commotion
Yearned for soothing with alcohol consumption,
But wisely didn't succumb to strong compulsion
Turns to calming influence of waves of the ocean
She drifts to sleep content with what she'd chosen

Saturday, November 28, 2015

Teaching

 By Nihal D Amerasekera
“The mediocre teacher tells. The good teacher explains. The superior teacher demonstrates. The great teacher inspires.”
― William Arthur Ward
We were medical students in the Golden era of medical education in Sri Lanka. Our teachers educated and inspired us to become who we are today.

Teaching is one of the most rewarding aspects of professional life. It began in 1979 when I was appointed Senior Registrar to the University College Hospital in London rotating to the Childrens’ hospital  in Great Ormand Street and the National hospital at Queens Square. I must confess lecturing to medical students was initially a shock to my system until I acquired the skills for public speaking. Then on it became a most satisfying experience to which I look back with great pride.

As a Consultant Radiologist in a District General Hospital where medical students came on rotation from Cambridge and the Royal Free hospital in London the teaching was less structured and to a smaller group at a time. Teaching registrars in Radiology and coaching them for the fellowship was a most fulfilling commitment.

As we all know teaching is an art and a science. Some are born with it and other acquire it in the fullness of time. Sadly there are a few who just cannot teach and end up in important teaching positions in university, bungling their way to retirement. The ability to teach has no direct relationship to the ability to pass examinations. Nowadays after a lecture the students are encouraged to fill up a questionnaire about the performance of the lecturer and such feedback helps to eliminate “incompetence”. Help is at hand to learn the teaching skills in a Diploma Course in Education which can be done part time in 12 months. This is now an important requirement for all full time lecturers in Universities in the UK.

It is a wonderful experience to meet medical students and registrars whom I have taught, many years later at conferences and medical meetings. Fortunately I don’t recall any “Rajasuriya” moments.

Although I enjoyed teaching I was not prepared to give up my clinical commitment to embark on teaching fulltime.  Teaching patients is now a team effort. The Clinical Meetings are attended by all relevant disciplines when the diagnosis and treatment is discussed. This is far removed from the scene in the old days when the consultant clinician was the king of all he surveyed and did what he pleased. The downside of the new system is the lack of a clinical lead who is responsible for the patient from admission to discharge. But the benefits of the new method outweigh the drawbacks.

I admire enormously the decision  Sanath and Chandrasiri have taken to remain in Sri Lanka to teach medical students who will take care of the health of the people of our motherland. We applaud their commitment to medical education. 





Friday, November 27, 2015

Teaching Medical Students (continued)

Some of you may have read this already because Speedy wrote this as a comment on Sanath's  recent post under the subject "Teaching Medical Students". As I have repeatedly pointed out before, it's the comments that make a blog post more interesting.

Rather than allowing Speedy's lengthy comment to languish only as a comment, I have taken into consideration its real worth and reintroduced it as a separate post. It is done with the fervent hope that this reintroduction will generate more comments on Sanath's original post. Viewers are free to decide under which post they should comment. But let's not forget that it was Sanath who introduced the subject in the first place.

What Speedy wrote:

Lama's post deserves attention from all of us who have had the pleasure of imparting our knowledge to others. My experience has been mainly in the UK although I did teach Medical Students in SL when I was a Demonstrator in Pharmacology in 1972-3 and again both students and doctors as Neurologist in Kandy in 1978-79. My teaching audience in the UK was very wide including Medical Students, Doctors, Social workers, Nurses, Physiotherapists, Occupational therapists and most importantly, patients and carers. Each Group posed a different challenge and for me the biggest challenge was to speak to patients, carers and social workers and others with no medical background. My objective was quite simple- at the end of my talk, I wanted to be sure that my audience grasped the messages I was trying to impart and left the lecture/tall.demonstration feeling happy and enthused by what they heard. I preferred more interactive sessions as I felt it gave the opportunity for them to question me and clear their doubts. I had a few broad principles when I did these. Firstly, I didn't hide under an aura of authority. I was always friendly and pleasant ( I hope!) and never hesitated to admit that I didn't know the answer.Secondly, I never ridiculed or admonished a student who was brave enough to ask me a question, even if it was deemed "silly" by some. Thirdly, I always summarised the main points of what I was trying to impart at the end and lastly, I NEVER read from a sheet in front of me or read the PowerPoint presentation to my audience. If it was a lecture with audio-visual facilities, I would always check them out before, have a back up and spoke to the audience, not looking back at the screen. I made sure the microphone was working and tested that my voice was heard at the back of the Lecture hall. Over the years, I also learnt to speak more clearly and slowly (speaking too fast is an Asian habit and also a sign that you have not got the content right to fit the time available, trying to rush through to complete on time and forgetting that the process (talk) is good only if the outcome (imparting the messages) was achieved. I always prepared thoroughly before a presentation and how nervous I was (and I was!) depended on how well I prepared and knew the subject myself. Most of these points were an attempt on my part not to be like some of the bad teachers I had both at Royal and at Medical Faculty and to be like some of he good ones . For medical students and doctors, I tried to impart two things. Firstly the fascination of solving a problem and secondly, the need to be kind, understanding and ethical to your patients. I am happy to say (shedding modesty as Lucky advised us) that at Manchester, I was consistently rated to be among the highest Medical Teachers. I still do a bit of teaching as I love it and also because I consider it the duty of every doctor to educate.

I have touched on this before but I did my best to enthuse Medical Students and Doctors in the fascinating art of collecting evidence (History and examination) , diagnosis (collating all the evidence- both clinical and through investigations) and then the thrill of getting it right and helping the patient. This is sadly becoming a fading art, thanks to blind investigations, parrot like protocols, defensive medicine and the lure of personal and financial gain. I would like to add that I consider Dr Wickrema Wijenaike, Prof NDW Lionel and Dr Viswanthan as some of the best Teachers I ever had. My gratitude for them will always remain with me.